The Efficacy of Kinesiotaping on Pain, Edema and Functionality After Total Knee Arthroplasty

NCT05457686 | Completed

• 1 other identifier: 2022-08/87
• Study Type: interventional
• Target: 187
• Locations: 1 country
• Sites: 1

Brief Summary

In this prospective, randomized controlled trial; To evaluate the effect of kinesiology taping applied for edema on pain, edema and functions in the early period after total knee replacement.Patients who underwent total knee replacement will be included in the 10-day follow-up study.Patients will be divided into three groups by randomization. A conservative postoperative physiotherapy program, which is routinely applied to all groups, will be applied. Thus, no patient will be left without treatment. The first group will be considered as the control group, which will be given only a conservative physiotherapy program. In addition to the conservative postoperative physiotherapy program, the 2nd group will be taped without applying tension with a plaster and will be considered as the sham group. In the third group, in addition to the conservative postoperative physiotherapy program, kinesiotaping for payment will be applied.

Conditions

Knee Arthroplasty; Pain; Edema

Keywords

knee arthroplasty; kinesiotaping

Outcome Measures

Primary Outcomes (4)

• edema

  thigh, knee and leg diameter measurements to be measured with a tape measure

  1 day before surgery

• edema

  thigh, knee and leg diameter measurements to be measured with a tape measure

  1 days after surgery

• edema

  thigh, knee and leg diameter measurements to be measured with a tape measure

  3 days after surgery

• edema

  thigh, knee and leg diameter measurements to be measured with a tape measure

  10 days after surgery

Secondary Outcomes (4)

• Pain Intensity

  1 day before surgery

• Pain Intensity

  1 day after surgery

• Pain Intensity

  3 days after surgery

• Pain Intensity

  10 days after surgery

Other Outcomes (8)

• Functionality

  1 day before surgery

• Functionality

  1 day after surgery

• Functionality

  3 days after surgery

Study Arms (3)

kinesiology group

EXPERIMENTAL

In the group receiving kinesiology treatment, kinesiotaping is applied to the sub-knee region in accordance with the lymphatic correction technique from the first postoperative day to reduce edema and pain. Accordingly, the proximal part of the tape is placed close to the lymph node. In our study, as stated in the literature, the proximal part of the tape will be adhered to the fibular head area next to the lymph nodes without applying any stretching. Then 5-10% stretching is applied and the distal part is adhered. 2 separate bands are applied so that the strips cross each other (from the medial and lateral of the knee). On the first postoperative day, on the third day, the patients will be taped with kinesio tape and discharged on the fourth day. After discharge, they will be asked to remove the tapes after 3 days as they were taught.

Other: kinesio tape; Other: Exercise

sham taping group

SHAM COMPARATOR

Sham application will be taped with a plaster from the same area on the same days as the kinesio application. No tension will be applied while taping. The difference of the plaster from the kinesiotape is that it does not contain tension and does not allow stretching.

Other: Sham taping; Other: Exercise

only physical therapy group(control group)

OTHER

Conservative will be explained on the second day after the operation. Go for a visit with a local cold application 20 times once a day. Ankle pumping exercises, deep breathing exercises, isometric and hip exercises will be planned with a load that can be applied to students who are being applied for bed training. Increased the number and allowance of exercises; isotonic knee and exercises that make you feel It will be added. You will be discharged on the 4th day after the surgery on the 2nd or 3rd day. You will do home exercises after discharge. On the 10th day, you will be called for control.

Other: Exercise

Interventions

kinesio tape OTHER

According to this, the proximal part of the band is located close to the lymph node. In our study, as stated in the literature, the proximal part of the tape will be adhered to the fibular head area next to the lymph nodes without applying any stretching. Then 5-10% stretching is applied and the distal part is adhered. 2 separate tapes are applied so that the strips cross each other

kinesiology group

Sham taping OTHER

In the same procedure and time as kinesiotaping, inelastic tape will be used instead of kinesiotape.

sham taping group

Exercise OTHER

Routine exercise and physiotherapy program applied after knee arthroplasty surgery will be applied

kinesiology group; only physical therapy group(control group); sham taping group

Eligibility Criteria

• Age: 40 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Performing total knee joint arthroplasty due to stage 4 gonarthrosis
• Agree to participate in the study
• Having signed the informed consent form

You may not qualify if:

• Presence of malignancy, infection, rheumatological disease
• Having a tape allergy
• Having a diagnosis of lymphedema

Sponsors & Collaborators

• Kirsehir Ahi Evran Universitesi: lead

Study Sites (1)

Ahievran university

Kirşehi̇r, 40100, Turkey (Türkiye)

Location

Related Publications (3)

• Boguszewski D, Tomaszewska I, Adamczyk JG, Bialoszewski D. Evaluation of effectiveness of kinesiology taping as an adjunct to rehabilitation following anterior cruciate ligament reconstruction. Preliminary report. Ortop Traumatol Rehabil. 2013 Oct 31;15(5):469-78. doi: 10.5604/15093492.1084361.

  PMID: 24431257 BACKGROUND

• Jongbloed L, van Twist D, Swart N. Kinesio Taping Improves Pain, Range of Motion, and Proprioception in Older Patients With Knee Osteoarthritis. Am J Phys Med Rehabil. 2016 Jan;95(1):e7. doi: 10.1097/PHM.0000000000000393. No abstract available.

  PMID: 26390398 BACKGROUND

• Guney Deniz H, Kinikli G, Onal S, et al THU0727-HPR Comparison of kinesio tape application and manual lymphatic drainage on lower extremity oedema and functions after total knee arthroplasty Annals of the Rheumatic Diseases 2018;77:1791.

  BACKGROUND

MeSH Terms

Conditions

Pain; Edema

Interventions

Athletic Tape; Exercise

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Bandages; Equipment and Supplies; Orthotic Devices; Orthopedic Equipment; Surgical Equipment; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: This study was designed as blinded, randomized and controlled.the person who evaluates the patients before and after the treatment is blind.In other words,the person evaluating the patients and the person giving the treatment are different.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assistant proffesor

Model Details: randomized controlled study

Study Record Dates

• First Submitted: July 3, 2022
• First Posted: July 14, 2022
• Study Start: July 14, 2022
• Primary Completion: February 12, 2023
• Study Completion: February 22, 2023
• Last Updated: February 23, 2023

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)